Crotinger Nursing Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

4545 Issued in OH

Legal business name

CROTINGER NURSING HOME INC

Doing business as

Center of Hope

Practice address

907 E Central St
Union City, OH 45390

Phone

(937) 968-5284

Fax

(937) 968-7634

NPI assigned

Aug 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eric L Hiatt

Title

Sec Treasurer

Phone

(937) 968-5284

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center of Hope Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346353463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 E CENTRAL ST",
            "city": "UNION CITY",
            "state": "OH",
            "postal_code": "45390",
            "telephone_number": "937-968-5284",
            "fax_number": "937-968-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E CENTRAL ST",
            "city": "UNION CITY",
            "state": "OH",
            "postal_code": "45390",
            "telephone_number": "937-968-5284",
            "fax_number": "937-968-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROTINGER NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIATT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SEC  TREASURER",
        "authorized_official_telephone_number": "937-968-5284",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "4545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1890253",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center of Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adreonna Banda
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• Betsy Jean Evans
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• Scott W Geesaman

• Nursing Facility/Intermediate Care Facility in Union City, OH
• Providers in Union City, OH by specialty
• Nursing Facility/Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.